|
si�-rao-ooao Gfty of Zephyrhills Permit Application �ax 813-780-0021
<br />� Building Department
<br />'i Date Receiv�d Phone�Cantact for Permtttin �3�2 �V�' — d�3 i�
<br /> II /� .
<br /> Owner's Name .`a 1....2"j � s � G.. Owner Phone Number
<br /> il �Owner's Address � Z C� .,3 Ct. .5 t-1µ'L G- � (2wner Phone Number �
<br />� Fee Simple Tltlehafder Name �� � Owner Phone Number � �
<br />'; Fee Simpte Titleholder Addres�
<br />' JOB�ADDRES`S � 1 �a �G.�-.,�c �,� �� ZPr � r In,• l'S �" � 5 2 LOT# �_____�,�
<br /> I sue�iwsioN [ � PARCEL.ID# ' 2- ` �. z t . O (�'�l C�� o D� � 6 �
<br /> � . (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> �� WBRK PROPOSED NEW COiVSTR ADD/ALT � SIGN [� Q DEMOLISH
<br /> i � e INSTAL� 8 REPAIR
<br /> PRQPQSED-USE Q SFR Q COMM Q OTHER
<br /> , TYPE OF CQNSTRtICTFON Q BLOCK " Q FRAME � STEEI. Q
<br /> DESCRIPTION OF WORK 1J iti W ��� Ja 1 �'1 �� ! P` �Q. V +.t.) � �.�C`•l�c P�G,S��'"" {�=�
<br /> BUtLDING SI2E _5Q FQOTAGE �� =� HEIGHT
<br /> I, 0��������' L' �� VALUATION�OF TOTAL CONST"RUCTION
<br /> QEI.ECTi21CAl ���--� AMP SER\tICE Q PROGi2ESS ENEF2GY Q W.R.E.C.
<br /> ' QPLUMBlNG (9i___� . , `_�(}�� ,
<br /> � „�,Y}
<br /> OMECHfWICAL $ � � �,p VAIUATtON OF MECHAIVtCAI INSTA�tATiQN
<br /> C]GAS Q ROpFlNG Q SPECIALTY �J OTHER �
<br /> FINISHED FLOOR EI.EVATtONS �� FLQOQ ZONE AREA QYES NO
<br /> BWLDER COMPANY
<br /> SIGNATURE REGtS7ERED Y 1 N ���cuR�n Y i N
<br /> Address License# ��� �
<br /> ELECTRlCiAN COMPANIf
<br /> SIGNATURE �' r�G�sTea�o Y i N F�e cu�E Y t N
<br /> Address - License# � I
<br /> P�UMSER ^ � COMRANY
<br /> SIGNATURE a��srea�o Y/ N FEE CURREA Y-I N
<br /> Address License# � �
<br /> MEGHANlCAI. COMPANY
<br /> SIGNATURE � REGISTERED Y! N �EE GURREt+ Y!N-
<br /> Address License# �` �
<br /> ` -
<br /> ozH�� � � � co�nP�nr L..�,.. � G�� �. c
<br /> SIGNATURE 'T REGlSTERED Y/ N . �EE CU Y/N
<br /> Address � �,S � � ucense# C�C=C l.3 2�' ��
<br /> RESIQENTIAL Attach(2)FloYPlaos;..(2)seEs of BuElding'Pla�►s;{1}sef of Energy°Farms;.F2-t?-W Perrtiit for new canstnactian,
<br /> Minimum,ten(�1,0)tworking;days after.subriiittal date. Required onsite,Constrvction Plans;Stormwater Plans w/Sllt Fence Installecl,
<br /> Sanita'ry Facili�es.&1,dumpster Site Work-Rermit for sutidivi'slons/large proJects ' �
<br /> COMMERCIAL Attach(3)caiitpfete'sefs of Bultding�Nlans ptus a Life Safely Page;{1)set of Energy Forms.R-O-VIt Permit far new canstrui:tion.
<br /> Minimum ken(10)warking days after submittal date. Required onslte,CanstruaUan P4ans,Stormwater Plans w!Silt Fence installed,
<br /> SaNtary FaciliUes&1 dumpster.Site Work Permit for aIl new proJects.All commercial requlrements must meet compliance
<br /> SIC�N PfRMiT Attach(2}'sets of Engineer,ed Pians.,., � �
<br /> •`""PROPERTY SURVEY required for all NEW construction.
<br /> D}rectfans: � �
<br /> FIII out appllcatlon completely.
<br /> Owner 8 Contractor sign back of applicadon,natadzed
<br /> If over a2500,a Notice of Commencement is required. (A1G upgrades ov�P S'�500)
<br /> " Agent(far the cxintracfor)or Pawer i►f Attomey(for the awner}wauld be someone with notarized letter from owner authorizing same
<br /> DVER'i'HE COUNTER PERMI'RIFiG. - .(Front of-ApplicaUon OntY} _..: .. � -.. } - .,�-,;;,�-� � '
<br /> Reroofs if shingles Sewers Servtce Upgrades�At,C.."`-'Fences{RlqUSurveytFootage} ;s , _��x', - �� , `' .
<br /> briveways-Not aver Counter if on publla road'ways:;needs'ROVI!'_, t.:i`. ';;� , , , , �� ,�, , , ' �
<br /> „ � .,:..,_.. � . �- _._- --, - -.. �, . .- . :..
<br /> ° , . , - ,• . .-. > - -,.: _ .. .- . ,.
<br />
|